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The Regular General Practitioner (RGP) Scheme was introduced in Norway in June 2001. In a revision of the RGP Scheme, it has been proposed to regulate the number of people assigned (list size) to one general practitioner (GP) to a maximum of 2,500 persons. A further suggestion is to let the municipalities decide whether to increase the list up to 1,500 persons in cases where the GP's list is shorter. Currently, the relationship between list size and quality of health care services is uncertain. This overview is intended to be used as part of the documentation concerning decisions about GPs' list size. Commission The Norwegian Knowledge Centre for the Health Services was asked by The Norwegian Directorate of Health to review available research which addressed the question: What are the effects of the number of people assigned to GPs on the quality of health care services? We searched systematically for:1. Systematic reviews, randomized controlled trials, controlled studies and interrupted time series that examine the effect of GPs' list size on quality parameters (primary objective)2. Studies that have assessed GPs' list size in relation to various quality dimensions of services provided by GPs (cross-sectional studies) Main results There is an evidence gap regarding the effects of GPs' list size on health care quality parameters. We can not conclude whether short or long lists result in differences in the quality of services provided by primary care physicians. We have found 91 studies that, although they did not evaluate effect, examined the association between GPs' list size and the quality of the services provided. Among these are sixteen Norwegian registry- and cross-sectional studies. We have presented the studies, including their results, and elucidated that the studies are varied as regards aims, methods used and study settings. It is difficult to use registry- and cross-sectional studies as basis for answering questions on associations. The results of the included studies showed a large variation, thus we are uncertain about a possible association between list size and the quality of primary care physician services. None of the studies examined what the optimal list size would be in relation to quality of primary care physician services.
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Psychosis has many causes. Psychiatrists typically receive the most thorough training in its diagnosis, but the diagnosis of psychosis secondary to nonpsychiatric conditions is not often emphasized. An understanding of the underlying cause of psychosis is important for effective management. The Diagnosis of Psychosis bridges the gap between psychiatry and medicine, providing a comprehensive review of primary and secondary causes of psychosis. It covers both common and rare causes in a clinically focused guide. Useful both for teaching and reference, the text covers physical and mental state examination, describes key investigations, and summarizes the non-psychiatric features of medical conditions causing psychosis. Particularly relevant for psychiatrists and trainees in psychiatry, this volume will also assist neurologists and general physicians who encounter psychosis in their practice.
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"Psychosis has many causes. Psychiatrists typically receive the most thorough training in its diagnosis, but the diagnosis of psychosis secondary to nonpsychiatric conditions is not often emphasized. An understanding of the underlying cause of psychosis is important for effective management. The Diagnosis of Psychosis bridges the gap between psychiatry and medicine, providing a comprehensive review of primary and secondary causes of psychosis. It covers both common and rare causes in a clinically focused guide. Useful both for teaching and reference, the text covers physical and mental state examination, describes key investigations, and summarizes the non-psychiatric features of medical conditions causing psychosis. Particularly relevant for psychiatrists and trainees in psychiatry, this volume will also assist neurologists and general physicians who encounter psychosis in their practice"--
Psychoses --- Physicians (General practice) --- Psychotic Disorders --- Psychoses. --- Diagnosis. --- diagnosis. --- etiology.
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Family medicine --- Physicians (General practice) --- Primary Health Care. --- Family medicine.
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" Comment allez-vous, depuis la dernière fois ? Pas bien, sinon je serais pas venu ! Moi, ça va, c'est ma femme qui ne va pas. Mieux. C'est pas encore ça, mais c'est mieux. C'est pareil. Vos remèdes ne m'ont rien fait. C'est pas pire, mais j'ai toujours du mal à dormir. Eh bien, j'ai plus mal, mais maintenant ça me démange. " Dans le cabinet du Docteur Sachs, les plaintes se dévident, les douleurs se répandent. Sur des feuilles et des cahiers, Bruno Sachs déverse le trop-plaint de ceux qu'il soigne. Mais qui soigne la maladie de Sachs ?
Family medicine. --- Physicians (General practice) --- Médecine familiale --- Omnipraticiens --- Médecine familiale --- Physicians --- Rural Population
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Outside back cover : "The well-loved Oxford Handbook of General Practice is a lifeline for busy GPs, medical students, and healthcare professionals. With hands-on advice from experienced practitioners, this essential handbook covers the entire breadth and depth of general practice in small sections that can be located, read, and digested in seconds. Now in its fifth edition, the Handbook has been fully revised to reflect the major new developments shaping general practice today. Fully updated with the latest guidelines and protocols, this edition offers even more full colour diagrams and tables, and colour-coded chapters on general practice (green), clinical topics (purple), and emergencies (red). Covering the whole of general practice from practice management to hands-on advice dealing with acute medical emergencies, this comprehensive, rapid-reference text will ensure that everything you need to know is only a fingertip away."
General Practice --- Family Medicine --- Physicians (General practice) --- Family medicine. --- General Practice.
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Jean a trente-six ans. Il fume trop, mâche des chewing-gums à la menthe et fait ses visites de médecin de famille à vélo. Il a supprimé son numéro de portable sur ses ordonnances. Son cabinet médical n'a plus de site Internet. Il a trop de patients : jusqu'au soir, ils débordent de la salle d'attente, dans le couloir, sur le patio. Tous les jours, Jean entend des histoires. Parfois il les lit directement sur le corps des malades. Il lui arrive de se mettre en colère. Mais il ne pleure jamais. Ses larmes sont coincées dans sa gorge. Il ne sait plus comment pleurer depuis cette nuit où il lui a manqué six minutes.
General Practitioners. --- Physicians, Family. --- Médecins généralistes. --- Physicians (General practice) --- Physicians, Family --- Médecins généralistes
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Medicine --- Physicians (General practice) --- Family Practice. --- Medicine. --- Geneeskunde. --- Postacademisch onderwijs. --- Bijscholing.
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Family medicine --- Physicians (General practice) --- Family Practice. --- Medicine. --- Family medicine. --- Ohio. --- Ohio
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Approximately 21,000 family physicians in the United States regularly perform obstetrics as part of their primary care responsibilities. In Obstetrics in Family Medicine: A Practical Guide, a seasoned inner-city family physician concisely surveys the normal obstetrics encountered in a busy medical practice to provide a practical guide to the evaluation and management of common prenatal, peripartum, and postpartum complications. For each stage, Dr. Paul Lyons addresses the major issues and problems, spelling out in detail management protocols about why and what action is to be taken, when it is to be done, and how it is to be interpreted. The key points for each topic are summarized in tabular form for quick reference, and diagnostic flow charts illuminate all aspects of the decision-making process. Expert advice based on years of experience is also presented concerning physical and ultrasound examinations, laboratory tests, drug toxicities, and screening techniques. For the clinician seeking a point-of-care tool to look up information quickly when attending to patients in the office, a PDA version of the book is available from the Humana website: www.humanapress.com. Concise and clinically oriented, Obstetrics in Family Medicine: A Practical Guide aims to improve the delivery of women's health care, helping both family doctors who are doing obstetrics and those who want to better understand what is happening to their pregnant patients reach a higher standard of care.
Obstetrics. --- Family medicine. --- Maternal-fetal medicine --- Medicine --- Family practice (Medicine) --- General practice (Medicine) --- Physicians (General practice) --- Obstetrics/Perinatology/Midwifery.
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